Active NPI
Ralph J. Marino, M.D.
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
National Provider Identifier
1306864988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD-038103-E
- Practice address
- 25 S 9TH St
Philadelphia, PA 19107-4408 - Phone
- (215) 955-1200
- Fax
- (215) 923-3729
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | MD-038103-E | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD-038103-E | PA | Primary |
Addresses
Primary practice location
25 S 9TH St
Philadelphia, PA 19107-4408
Mailing address
25 S 9TH St
1St Floor
Philadelphia, PA 19107-4408
Other practice location 1
3 Crescent Dr Fl 3
Philadelphia, PA 19112-1016
Phone (215) 503-3321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001102883 | Medicaid | PA | |
| 2235609 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-038103-E | PA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1306864988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 S 9TH ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S 9TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074408",
"telephone_number": "215-955-1200",
"fax_number": "215-923-3729"
}
],
"practiceLocations": [
{
"address_1": "3 Crescent Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191121016",
"country_code": "US",
"telephone_number": "215-503-3321",
"fax_number": "215-503-7180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINO",
"first_name": "RALPH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "PA",
"license": "MD-038103-E",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD-038103-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001102883",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2235609",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.